| NPI | 1760100929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118399) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-10-18 |