| NPI | 1073145413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14327) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 183500000X Pharmacist (Licence: NE 16560) | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2025-04-01 |