| NPI | 1083107650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 174200000X Meals | |
| 174400000X Specialist | |
| 175T00000X Peer Specialist | |
| 251E00000X Home Health | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |