| NPI | 1770341638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA MPSS-PQBHKF) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-PQBHKF) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2025-02-03 |