| NPI | 1487135133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 226725) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2024-07-26 |