| NPI | 1912788548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 146D00000X Personal Emergency Response Attendant | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2026-05-22 |