| NPI | 1932790961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106995) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2025-02-27 |