NPI | 1679229991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-I-004240) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000106401) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2024-04-08 |