NPI | 1649033713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-R-6186) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR 110476) |
Enumeration Date | 2024-02-01 |
Last Update Date | 2025-01-08 |