NPI | 1558075119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 14140634-3502) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2023-01-09 |
Last Update Date | 2025-05-29 |