NPI | 1225546146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 125170) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-01-12 |
Last Update Date | 2023-04-19 |