| NPI | 1932619962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-CEVAYB) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2025-05-23 |