| NPI | 1336951938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR 3439) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 3439) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |