| NPI | 1659032092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2024-01-26 |