| NPI | 1902558109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-02-16 |