| NPI | 1467219683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 101Y00000X Counselor |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |