| NPI | 1447115696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: UT 1447115696) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2026-08-19 |