| NPI | 1023408960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X |
| 253J00000X Foster Care Agency | |
| 251E00000X Home Health | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251B00000X Case Management | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2017-04-25 |