| NPI | 1710556436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 755274) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2025-11-10 |