| NPI | 1174138648 |
|---|---|
| Former Name | BARBARA AILEEN BOOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-11-12 |