| NPI | 1780076893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO SWC.0000001410) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CO CPFS-771) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2023-08-31 |