| NPI | 1912690066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 119649) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2024-10-09 |