| NPI | 1356618086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: AK 11-1119-III) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2022-11-07 |