| NPI | 1982172839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 6075422-3501) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2025-04-30 |