| NPI | 1417173477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1718-121) |
| Additional Taxonomies | 174H00000X Health Educator |
| 251S00000X Community/Behavioral Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1086-132) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-07-21 |