| NPI | 1780239012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2023-11-27 |