| NPI | 1992201115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 171M00000X Case Manager/Care Coordinator | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2025-05-21 |