| NPI | 1164036208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist | |
| 374J00000X Doula | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-05 |