| NPI | 1265040927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV AP00938990) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: WV AP00938990) |
| 405300000X Prevention Professional (Licence: WV AP00938990) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |