| NPI | 1639629488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 106836) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2022-02-14 |