| NPI | 1194190553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL MH13821) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2018-03-17 |