| NPI | 1326345695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 247200000X Technician, Other | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2016-06-17 |