| NPI | 1396259222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2024-05-10 |