| NPI | 1790805547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA na) |
| 225400000X Rehabilitation Practitioner (Licence: CA na) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-05-30 |