| NPI | 1902502925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13545) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-08-07 |