| NPI | 1235017922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 20655) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: TX 50311-0322) |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2026-04-01 |