| NPI | 1962008581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0136565) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0134958) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2025-04-14 |