| NPI | 1639666407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 1639666407) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-12-14 |