| NPI | 1194460956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 174400000X Specialist |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2025-06-01 |