| NPI | 1962008581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VT 097.0134958) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2023-12-21 |