| NPI | 1679312417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 13961417-3503) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-06-20 |