| NPI | 1295542587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NM CCSS) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1310) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-12-22 |