| NPI | 1770143703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 117242) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2025-09-22 |