| NPI | 1346665478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: TN 1000000010766) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |