| NPI | 1689282006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012147) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 5460) |
| 172V00000X Community Health Worker | |
| 104100000X Social Worker | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-12-19 |