| NPI | 1295224210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5534) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2023-10-11 |