NPI | 1437673894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 77597) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 77957) |
Enumeration Date | 2017-07-27 |
Last Update Date | 2022-09-07 |