NPI | 1174815153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101Y00000X Counselor |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2011-05-09 |
Last Update Date | 2017-03-14 |