| NPI | 1518731959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NY 26AR1476952) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: NY 26AR1476952) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |