| NPI | 1255672812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 5832) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2024-05-06 |