| NPI | 1720709850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: HI 3155) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 104100000X Social Worker (Licence: CT 7115) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2026-06-22 |