| NPI | 1265293781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851117031) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MI 20250162) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2025-08-14 |