| NPI | 1295267235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106S00000X Behavior Technician | |
| 172V00000X Community Health Worker | |
| 251S00000X Community/Behavioral Health | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-11-03 |