NPI | 1992299143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW104908) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW104908) |
172V00000X Community Health Worker | |
Enumeration Date | 2018-06-20 |
Last Update Date | 2023-07-07 |