| NPI | 1679134209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-R-6147) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR 106768) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-11-07 |