| NPI | 1770401614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251B00000X Case Management | |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |