| NPI | 1740808062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-08-14 |