| NPI | 1861056483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-II-000280) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2024-07-25 |