| NPI | 1104504950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14276) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-08-07 |