NPI | 1558825737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW012184) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA MSW012184) |
172V00000X Community Health Worker | |
Enumeration Date | 2019-01-22 |
Last Update Date | 2024-11-22 |