| NPI | 1588532238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: UT 2653) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: UT F24-112933) |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |