| NPI | 1598640104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171400000X |
| 172V00000X Community Health Worker | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |