| NPI | 1629828173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8171869) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-07-05 |