| NPI | 1699350447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator | |
| 251S00000X | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2024-04-16 |