| NPI | 1740169069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-KPXYQC) |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-09-23 |