| NPI | 1457901068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 097759-01) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-11-15 |