| NPI | 1346435278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 101YA0400X) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-08-19 |