| NPI | 1023372372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA RAMFT98633) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT98633) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2023-04-19 |