| NPI | 1942991021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-CYNOMD) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-11-20 |