| NPI | 1255671509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 73595 INTERN) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2014-01-30 |