| NPI | 1245561505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-28774) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: ID LCSW-28774) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2023-08-29 |