| NPI | 1669292108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 139762) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2026-09-09 |