| NPI | 1912314618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8666298-3502) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2024-03-27 |