| NPI | 1780475186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 374K00000X Religious Nonmedical Practitioner | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-07-16 |