| NPI | 1003546052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-R-5134) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR 106740) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-04-08 |