| NPI | 1982096046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 274052) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2024-03-22 |