| NPI | 1174404461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW04214) |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2026-03-09 |