| NPI | 1649147703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2026-04-27 |