| NPI | 1053795898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 120-1299) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2017-02-15 |