| NPI | 1720465362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 10655929-3502) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-11-17 |