| NPI | 1194370320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 12316) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |