| NPI | 1144746900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116711) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2023-10-20 |