| NPI | 1275066946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 101Y00000X Counselor | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2025-11-10 |