| NPI | 1649835265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 101Y00000X Counselor |
| 171W00000X Contractor | |
| 174H00000X Health Educator | |
| 246Y00000X Spec/Tech, Health Info | |
| 246Y00000X Spec/Tech, Health Info | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2022-03-21 |