| NPI | 1548967920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-R-5917) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-11-26 |