| NPI | 1134523038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 5296) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2024-05-23 |