| NPI | 1124439286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2018-04-11 |