| NPI | 1518632462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 14842) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140170) | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2025-05-07 |