| NPI | 1174933642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013849) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2018-07-18 |