| NPI | 1134660475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| 225400000X Rehabilitation Practitioner | |
| 251B00000X Case Management | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-03-21 |