| NPI | 1114717725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA CHW001) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA CHW001) |
| 373H00000X Day Training/Habilitation Specialist (Licence: CA CHW001) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA CHW001) | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |