| NPI | 1245924968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: RI 200976) |
| Additional Taxonomies | 101Y00000X Counselor |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-05-16 |