| NPI | 1023896685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851121797) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2026-06-25 |