| NPI | 1760255152 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 172V00000X Community Health Worker | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-11-06 | 
| Last Update Date | 2024-07-11 |