| NPI | 1770290926 |
|---|---|
| Former Name | TALITHA NIKOLE NIELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-11-01 |