| NPI | 1790823029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 41072) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2022-09-09 |