| NPI | 1831968635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-GXRBVA) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-09-05 |