| NPI | 1497502363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 33157) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2025-03-10 |