| NPI | 1609535608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 174H00000X Health Educator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2024-01-11 |