| 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 |