| NPI | 1285325803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 347C00000X Private Vehicle | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |