| NPI | 1386033876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 13860033876) |
| 172V00000X Community Health Worker (Licence: CA 57216) | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2023-09-27 |