NPI | 1184044265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT F21-102289) |
Additional Taxonomies | 101Y00000X Counselor |
172V00000X Community Health Worker (Licence: UT 0) | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2025-09-03 |