| NPI | 1144084260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0136658) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2025-06-05 |