| NPI | 1578286407 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 175T00000X Peer Specialist | 
| Additional Taxonomies | 251B00000X Case Management | 
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-09-26 | 
| Last Update Date | 2025-10-27 |