| NPI | 1649328956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-05-03 |