| NPI | 1295417061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2026-01-22 |