| NPI | 1356969042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR 20-CRM-268) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: OR 20-CRM-268) |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist (Licence: OR 20-CRM-268) | |
| 374K00000X (Licence: OR native) | |
| 405300000X Prevention Professional (Licence: OR 20-CRM-268) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-01-21 |