| NPI | 1790039220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 210195565) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2023-08-07 |