| NPI | 1306202486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 19439) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: LA OBHPSS1241) |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2025-09-23 |