| NPI | 1770292153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 104100000X Social Worker |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-05-03 |