| NPI | 1982127254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-09-13 |