| NPI | 1184340713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |