| NPI | 1619645991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA UHWZKXSEDYRGFLOJ) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 374700000X Technician | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-05-30 |