| NPI | 1760227003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR THW000105866) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: OR 23-QMHA-I-003712) |
| 171M00000X Case Manager/Care Coordinator (Licence: OR 23-QMHA-I-003712) | |
| 175T00000X Peer Specialist (Licence: OR 105866) | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-07-18 |