| NPI | 1790406635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA Y4629949) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2023-11-20 |