NPI | 1023231362 |
---|---|
Former Name | SAMMY A HAWK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2007-04-11 |
Last Update Date | 2024-09-16 |