| NPI | 1629515655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MA 119829) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2023-08-03 |