| NPI | 1679359269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 372500000X Chore Provider | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-06-14 |