| NPI | 1255871810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2025-05-08 |