| NPI | 1225662562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174400000X Specialist | |
| 174H00000X Health Educator | |
| 225C00000X Rehabilitation Counselor | |
| 251X00000X Supports Brokerage | |
| 252Y00000X Early Intervention Provider Agency | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2024-03-05 |