| NPI | 1861800427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801109740) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2021-07-19 |