| NPI | 1013583871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY PPC-1389) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-06-05 |