| NPI | 1578220299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 247200000X Technician, Other |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-12-19 |