| NPI | 1700581733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC $$$$$$$$$) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-05-12 |