| NPI | 1811374531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator (Licence: WY si25 1B00000X) | |
| 251S00000X | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2020-08-25 |