| NPI | 1831957398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 172V00000X Community Health Worker | |
| 1744P3200X Specialist, Prosthetics Case Management | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2026-03-02 |