| NPI | 1841668811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801105113) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2019-07-15 |