| NPI | 1003311846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 174400000X Specialist (Licence: CA Employment) | |
| 174400000X Specialist | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-10-06 |