| NPI | 1255107769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 15760) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-02-09 |