| NPI | 1891411716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA Y5482973) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA Y5482973) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-08-15 |