| NPI | 1992144000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802072280) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2024-06-27 |