| NPI | 1194085894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW74001) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CA 33312) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2021-06-01 |