| NPI | 1780060921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1959) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1312) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2021-06-18 |