| NPI | 1639859796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 175T00000X Peer Specialist (Licence: CA MPSS-DCBGQY) | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-06-18 |