| NPI | 1609472414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2026-05-17 |