| NPI | 1699088294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 7799) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2015-05-15 |