| NPI | 1497330187 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR No.23-QMHA-R-3693) | 
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 104611) | 
| Enumeration Date | 2021-03-14 | 
| Last Update Date | 2024-06-10 |