| NPI | 1265183743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NC 2021-8400-01) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC6277) |
| 174200000X Meals | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: 231556) | |
| 171400000X Health & Wellness Coach (Licence: 231556) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NC 19784977) | |
| 172A00000X Driver (Licence: NC 33024115) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2022-01-16 |