| NPI | 1336309251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7789) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL MH7789) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2020-01-13 |