| NPI | 1073457271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA Intern-student) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA Intern-Student) |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist (Licence: GA Certified) | |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-04-17 |