| NPI | 1003215690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 0890105044) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2024-10-03 |