| NPI | 1801471271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0017964) | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2026-03-04 |