| NPI | 1639593312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2023-08-29 |