| NPI | 1093246027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: FL 120806) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 120806) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |