| NPI | 1407443948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225400000X Rehabilitation Practitioner | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2024-06-15 |