NPI | 1225816572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: MI 2024375) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 0000000000000001) |
101YP2500X Counselor Professional (Licence: MI 0000000000000001) | |
171400000X | |
171M00000X Case Manager/Care Coordinator (Licence: MI 6853088696) | |
Enumeration Date | 2023-09-18 |
Last Update Date | 2024-10-06 |