| NPI | 1427860238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 172V00000X Community Health Worker | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-02-05 |