| NPI | 1497398853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 10395940-3501) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 10395940-3506) | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2023-04-28 |