| NPI | 1003563784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-AXRPOB) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2024-05-31 |