| NPI | 1841455144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 8182) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NC 1673) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2020-10-30 |