| NPI | 1952992943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 23-QMHA-ll-000151) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101Y00000X Counselor (Licence: OR 23-QMHA-II-000151) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2025-02-10 |