| NPI | 1962138610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 05494-0522) |
| Additional Taxonomies | 171400000X |
| 175T00000X Peer Specialist (Licence: 05494-050) | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-08-11 |