| NPI | 1215574116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X | |
| 251X00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |