| NPI | 1508629072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680136904) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-10-22 |