| NPI | 1063023992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12267031-3501) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2023-06-16 |