| NPI | 1063753515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 172V00000X Community Health Worker | 
| Additional Taxonomies | 225400000X Rehabilitation Practitioner | 
| 372600000X Adult Companion | |
| Enumeration Date | 2013-03-08 | 
| Last Update Date | 2025-06-04 |