| NPI | 1386036648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 172V00000x) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2023-11-09 |