| NPI | 1740916162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 24-QMHA-R-5351) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR THW107363) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2024-05-16 |