| NPI | 1689290926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117999) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 117999) |
| 101YM0800X Counselor, Mental Health | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-03-27 |