| NPI | 1184050130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100994) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2022-11-08 |