| NPI | 1942968441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 131807) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2025-07-14 |