| NPI | 1801451968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9799123) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-05-04 |
| Last Update Date | 2024-04-30 |