| NPI | 1003531740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-HJARV) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172V00000X Community Health Worker | |
| 372600000X Adult Companion | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2025-05-21 |