| NPI | 1326639857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135799) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YP2500X Counselor, Professional (Licence: VT 097.0134944) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2025-10-03 |