| NPI | 1780050237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 36473) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-09-18 |