| NPI | 1780320812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR THW000106745) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 23-QMHA-I-004057) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-04-16 |