NPI | 1619462538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9855-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: NV 8394-S) |
172V00000X Community Health Worker | |
Enumeration Date | 2018-06-22 |
Last Update Date | 2022-04-08 |