| NPI | 1962292524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA E2495288) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |