| NPI | 1457817827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA SZUIMT) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2024-02-13 |