| NPI | 1194608554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 104100000X Social Worker | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |