| NPI | 1639742158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 222527) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-05-09 |