| NPI | 1932087954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251B00000X Case Management | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-12-04 |