| NPI | 1164119244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-TWJAXE) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-07-21 |