| NPI | 1568000917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 10988377-3503) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-07-06 |