| NPI | 1700027968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR 15681) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2023-03-16 |