| NPI | 1720548555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 372600000X Adult Companion | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-04-30 |