| NPI | 1578269569 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 225400000X Rehabilitation Practitioner | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-02-01 | 
| Last Update Date | 2025-03-27 |