| NPI | 1518094440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103831) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 103831) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 103831) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-05-06 |