| NPI | 1477831584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AK 113125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 113125) |
| 101YM0800X Counselor, Mental Health (Licence: WY LPC 1226) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 10670) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2021-07-07 |