| NPI | 1154789360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94055) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 70357) |
| 104100000X Social Worker (Licence: CA 94055) | |
| 172V00000X Community Health Worker (Licence: CA 94055) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2023-07-31 |