| NPI | 1265907174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2018-10-06 |