| NPI | 1679196489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1003) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2021-10-19 |