| NPI | 1558702449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 10762) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7035) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2018-06-13 |