| NPI | 1326639857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0135799) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VT 097.0134944) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2024-03-27 |