| NPI | 1891526968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 7236) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: TX 1816-1110) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |