| NPI | 1679097943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10981345-6004) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: UT 10981345-6004) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2024-08-28 |