| NPI | 1639949142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: VT 097.0135994) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VT 156.0134141) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |