| NPI | 1578209136 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: TX 1098-0519) | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 251B00000X Case Management | |
| Enumeration Date | 2022-05-06 | 
| Last Update Date | 2025-10-07 |