| NPI | 1720746258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2025-05-21 |