| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School |
| 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker |
| 1744R1102X Specialist, Research Study |
| 174H00000X Health Educator |
| 251B00000X Case Management |
| 261QC1500X Clinic/Center, Community Health |
| 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-01-03 |
| Last Update Date | 2021-01-03 |