| NPI | 1467068007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: AK 527148) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-12-20 |