| NPI | 1295436541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251B00000X Case Management | |
| 251S00000X (Licence: VA 0732010144) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-10-02 |