| NPI | 1114295730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: AK 10-1058-III) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2021-02-04 |