| NPI | 1720939374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: MA LSWA4040039) | |
| Enumeration Date | 2026-02-09 |
| Last Update Date | 2026-02-12 |