| NPI | 1760811830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC875) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2022-02-17 |