| NPI | 1376235333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist (Licence: CA MPSS-UGKIMX) | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-10-16 |