NPI | 1689562704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: NV PRSS-5298) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: NV CHW2-5151) |
Enumeration Date | 2025-06-26 |
Last Update Date | 2025-06-26 |