| NPI | 1356560957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 145146) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-04-11 |