NPI | 1265994644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 104100000X Social Worker (Licence: UT 10569192-3503) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2025-08-05 |