| NPI | 1992250740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 151593) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2025-02-21 |