| NPI | 1235060302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-05-27 |