| NPI | 1710414727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009923393) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CO 00009923393) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-04-12 |