| NPI | 1649096769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-EQCSVH) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-01-17 |