| NPI | 1093487043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6852093128) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-12-10 |