| NPI | 1487313375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR THW000105614) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000105614) |
| 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-I-003337) | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-01-24 |