| NPI | 1538507660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA CRFLWPAJSBTMKHDZ) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA CRFLWPAJSBTMKHDZ) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2023-03-15 |