| NPI | 1962772749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10924) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2020-07-31 |