| NPI | 1326500414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW107720) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-01-23 |