| NPI | 1558778829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 110228) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 110228) |
| 172V00000X Community Health Worker | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-06-16 |