| NPI | 1912727082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 171M00000X Case Manager/Care Coordinator (Licence: NA) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-07-23 |