| NPI | 1811358708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 2997376) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 2997376) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-03-19 |