| NPI | 1255904058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 102761) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 102761) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-29 |