| NPI | 1538708490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 16123) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2020-10-16 |