| NPI | 1396407771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 126137) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-11-07 |