| NPI | 1417435660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851115878) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851115878) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-11-14 |