| NPI | 1922782028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 174200000X Meals | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |