| NPI | 1215460654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 97522) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-05-09 |