| NPI | 1114542354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL 36-89142) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 319062) |
| 101YM0800X Counselor, Mental Health (Licence: FL 517068) | |
| 146D00000X Personal Emergency Response Attendant (Licence: FL 0090HTG) | |
| 172V00000X Community Health Worker (Licence: FL 590116) | |
| 405300000X Prevention Professional (Licence: FL 379114) | |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2021-03-30 |