| NPI | 1053790741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 15719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15719) |
| 101YP2500X Counselor, Professional | |
| 101Y00000X Counselor | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-01-19 |