| NPI | 1013454891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13470786-3502) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2023-11-28 |