| NPI | 1972154490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 106699) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 106699) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2022-01-25 |