| NPI | 1932607645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67811) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2025-04-03 |