| NPI | 1316749088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WV 172V00000X) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2026-04-06 |