| NPI | 1639925647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-EFHWTK) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-07-10 |