| NPI | 1699377671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6852093382) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2023-02-05 |