NPI | 1750009874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
175T00000X Peer Specialist | |
Enumeration Date | 2022-08-15 |
Last Update Date | 2024-10-01 |