| NPI | 1689056061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20433) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-12-07 |