| NPI | 1750159786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VT 156.0133914) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: VT 097.0134550) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-21 |