| NPI | 1245519503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: WA PT 00002431) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA PT 00002431) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |