| NPI | 1164218376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 702428) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 702428) |
| 172V00000X Community Health Worker (Licence: CA 702428) | |
| 373H00000X Day Training/Habilitation Specialist (Licence: CA 702428) | |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-05-12 |