| NPI | 1255160255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: MD PR1218) |
| Additional Taxonomies | 251B00000X Case Management |
| 172V00000X Community Health Worker (Licence: MD 01706-24-A) | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-11-01 |