| NPI | 1184004384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-11-30 |