| NPI | 1790578003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: RI 201716) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |