| NPI | 1063745149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 132363) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 104100000X Social Worker | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2026-03-16 |