| NPI | 1134981749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR THW000110044) |
| 175T00000X Peer Specialist (Licence: OR THW000110044) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-03-19 |