| NPI | 1558816967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225X00000X Occupational Therapist | |
| 3747A0650X Technician Attendant Care Provider | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |