| NPI | 1124594346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256806) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2023-11-22 |