| NPI | 1114615994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 372600000X Adult Companion |
| 373H00000X Day Training/Habilitation Specialist | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2024-11-14 |