| NPI | 1689945503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 100156) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2018-03-17 |