| NPI | 1740041870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2025-04-28 |