| NPI | 1013296524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2023-09-27 |