NPI | 1568673838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 72074078) |
174H00000X Health Educator | |
175T00000X Peer Specialist | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2017-04-01 |