| NPI | 1700303849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C012318) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-08-09 |