| NPI | 1124500475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: professionallicense) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-10-31 |