| NPI | 1255804837 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 003771)  | 
| Additional Taxonomies | 376K00000X Nurse's Aide | 
| Enumeration Date | 2019-01-07 | 
| Last Update Date | 2023-06-23 |