| NPI | 1710638630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist (Licence: CA MPSS-ODZPBE) | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-03-18 |