| NPI | 1902533680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA BBS13845) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13845) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2024-01-25 |