| NPI | 1710865662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1910) |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2026-09-05 |