| NPI | 1407273816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014502) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-02-12 |