| NPI | 1619396686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104266) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 84505) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-11-02 |