| NPI | 1760963680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12316) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2022-09-16 |