| NPI | 1801041124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: SC 172V00000X) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 101Y00000X) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |