| NPI | 1083079107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 270599) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-06-01 |