| NPI | 1174088736 |
|---|---|
| Former Name | JACQUELINE M TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2024-08-29 |