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 |