| NPI | 1366381345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NV prss-5214) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NV chw2-5178) |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-03-26 |