| NPI | 1255704631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014971) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2026-01-02 |