| NPI | 1063292613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: CA 1063292613) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-04-15 |