| NPI | 1174090229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 174H00000X Health Educator | |
| 101YS0200X Counselor, School | |
| 101YS0200X Counselor, School | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2023-04-12 |