| NPI | 1093346660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 101Y00000X Counselor | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2026-05-01 |