| NPI | 1245004738 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 172V00000X Community Health Worker | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-11-14 | 
| Last Update Date | 2023-11-14 |