| NPI | 1508573833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |