| NPI | 1437879384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096074) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: VT 089.0136122) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-10-30 |