| NPI | 1083398507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MI 96271954) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-04-03 |