| 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 |