| NPI | 1184005043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2016010544) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2019-11-01 |