| NPI | 1396363677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1040) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-03-08 |