| NPI | 1063369650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NM 2272026) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 2072) |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-06-01 |