| NPI | 1942161419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MI 166753044) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-11-22 |
| Last Update Date | 2026-03-04 |