| NPI | 1366832016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2025-10-21 |