| NPI | 1154691509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 7458) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2020-03-16 |