| NPI | 1033619143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 171M00000X Case Manager/Care Coordinator | |
| 373H00000X Day Training/Habilitation Specialist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2026-09-14 |