| NPI | 1508438482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 175T00000X Peer Specialist | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor | |
| 373H00000X Day Training/Habilitation Specialist | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2026-01-12 |