| NPI | 1568919215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2025-03-21 |