| NPI | 1861068983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10399-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 4955-226) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-05-29 |
| Last Update Date | 2024-09-24 |