| NPI | 1821727876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA MPSS-WVMHZQ) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-WVMHZQ) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-11-16 |