| NPI | 1477300572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT F24-112631) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: UT F24-112553) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-10-22 |