| NPI | 1659819878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW38369) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: ID LMSW35861) |
| 101YM0800X Counselor, Mental Health | |
| 172V00000X Community Health Worker (Licence: ID LMSW-35861) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2021-11-20 |