| NPI | 1619647369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251S00000X Community/Behavioral Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2026-03-25 |