| NPI | 1912632423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW000107357) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-R-5871) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-09-04 |