| NPI | 1275183808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 133202) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101Y00000X Counselor | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2025-12-03 |