| NPI | 1083189765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 279664) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 262157) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2022-09-20 |