| NPI | 1245570878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6109) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OK V082568037) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2023-11-02 |