| NPI | 1801495916 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW120175)  | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-10-20 | 
| Last Update Date | 2024-04-11 |