| NPI | 1659786598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator | |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |