NPI | 1629491022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH18944) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2014-01-22 |
Last Update Date | 2023-03-24 |