| NPI | 1699385831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: 200800) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: RI 200800) |
| 374J00000X Doula | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-09-13 |