| NPI | 1063350890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NV CHW1-6425) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NV PRSS-INT-5438) |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |