| NPI | 1710434634 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 175T00000X Peer Specialist | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-09-08 | 
| Last Update Date | 2023-12-19 |