| NPI | 1538704275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2023-11-13 |