| NPI | 1578221321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124187) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-08-01 |