| NPI | 1194387878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 118576) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 118576) |
| 172V00000X Community Health Worker | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2024-01-09 |