| NPI | 1093105330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2024-08-16 |