| NPI | 1780169961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 104277) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2021-09-28 |