| NPI | 1194438630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 113787) |
| 1041C0700X Social Worker, Clinical (Licence: CA 113787) | |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2024-02-28 |