| NPI | 1093549032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: MN NA) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251E00000X Home Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-09-09 |