| NPI | 1700496718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19154) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-19154) |
| 172V00000X Community Health Worker (Licence: AZ LPC-19154) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-09-29 |