NPI | 1639964083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 172V00000X Community Health Worker |
175T00000X Peer Specialist | |
Enumeration Date | 2025-04-14 |
Last Update Date | 2025-04-17 |