| NPI | 1417761909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 174H00000X Health Educator |
| 101Y00000X Counselor | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 251K00000X Public Health or Welfare | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |