| NPI | 1457036501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 111804) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-06-08 |