| NPI | 1568823292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2025-05-07 |