| NPI | 1316405855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 286620) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-12-12 |