| NPI | 1992315550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OK 317529) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2025-06-10 |