| NPI | 1336792530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2025-05-13 |