| NPI | 1619547114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-LYQMUS) |
| 172V00000X Community Health Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2025-12-02 |