| NPI | 1114305802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11293827-3501) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-01-10 |