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 |