| NPI | 1124611355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW108002) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-08-08 |