| NPI | 1548093099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 17375) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-09-17 |