| NPI | 1861595175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 6063798-6004) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 60637983503) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-05-27 |