| NPI | 1316664279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 1316664279) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2024-07-24 |