| NPI | 1659543189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT108088) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2024-08-05 |