| NPI | 1528435948 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011993) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2022-08-22 |