| NPI | 1780409813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-WHXZES) |
| 146N00000X Emergency Medical Technician, Basic (Licence: CA E177286) | |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2025-09-30 |