NPI | 1104447440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11686899-3501) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2020-04-28 |
Last Update Date | 2024-05-06 |