| NPI | 1912323338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 96096) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 188366) |
| 101YM0800X Counselor, Mental Health | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2023-05-17 |