| NPI | 1134485105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802067527) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2023-12-19 |