| NPI | 1366171993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NC 2022-2799-01) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-08-18 |