| NPI | 1104140995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 9836) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2022-04-19 |