| NPI | 1245648096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: MPSS-BHZPDG) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2023-10-09 |