| NPI | 1811284284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 24759) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2025-06-02 |