| NPI | 1154064996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-06-18 |