| NPI | 1831891365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 103K00000X Behavior Analyst (Licence: CA 0000822461) | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2026-03-07 |