| NPI | 1730533175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2025-05-13 |