| NPI | 1427419050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007106) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 007106) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2021-04-12 |