| NPI | 1336617711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251B00000X Case Management | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-10-29 |