| NPI | 1902210594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor (Licence: CA 1902210594) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2018-10-24 |