| NPI | 1376285221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT139292) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-11-15 |