| NPI | 1528691680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR THW000000007) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 22-QMHA-I-003286) |
| 172V00000X Community Health Worker (Licence: OR THW0047) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2023-07-13 |