NPI | 1114763422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: NM 1750) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: NM 07262024) |
Enumeration Date | 2024-07-05 |
Last Update Date | 2025-07-24 |