| NPI | 1831870187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 101YM0800X) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-11-21 |