| NPI | 1295142826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA B00002810223) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2025-10-14 |