NPI | 1750168464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 17910) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
172V00000X Community Health Worker | |
Enumeration Date | 2023-09-14 |
Last Update Date | 2024-11-07 |