| NPI | 1215256367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2023-07-07 |