| NPI | 1205532355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA MPSS-HAVGOE) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-01-10 |