| NPI | 1215558648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 13302874-3503) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-09-07 |