| NPI | 1619583580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: UT 12896589-3501) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-07-09 |