| NPI | 1720859085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: CA 86931) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-09-24 |