| NPI | 1801633490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-BHFRAE) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist (Licence: NY CRPA-5326) | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-08-23 |