| NPI | 1851652101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 72272) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 72272) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2024-12-02 |