| NPI | 1427761170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 13985079-3503) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2024-05-17 |