| NPI | 1376293811 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 14224525-3502) | 
| Additional Taxonomies | 172V00000X Community Health Worker | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-03-27 | 
| Last Update Date | 2025-07-12 |