| NPI | 1265575344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00057149) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-08-23 |