| NPI | 1750778148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSSVCQEYP) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA MPSSVCQEYP) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2024-05-14 |