| NPI | 1487045340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0017705) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2025-07-10 |