| NPI | 1093414047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist (Licence: CA mpss-rmonxd) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-06-13 |