| NPI | 1053757948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174400000X Specialist | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2015-12-22 |