| NPI | 1235615980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-04-27 |