| NPI | 1083131023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW16374) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-04-12 |