| NPI | 1104293083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A5485) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2021-01-29 |