| NPI | 1790413821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-I-004726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-I-004726) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2025-01-29 |