| NPI | 1467171975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA Y3029153) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-06-27 |