| NPI | 1154478451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2026-05-07 |