| NPI | 1538984760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 372600000X Adult Companion | |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-04-22 |