| NPI | 1396210142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA F8040385) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: CA F8040385) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2023-07-11 |