| NPI | 1720507957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171400000X | |
| 174200000X Meals | |
| 175T00000X Peer Specialist | |
| 225C00000X Rehabilitation Counselor | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374J00000X Doula | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2025-07-21 |