| NPI | 1801033436 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 687825396) | 
| Additional Taxonomies | 372600000X Adult Companion (Licence: FL 687825396) | 
| Enumeration Date | 2009-01-20 | 
| Last Update Date | 2009-01-20 |