| NPI | 1639521958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014289) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-07-10 |