| NPI | 1619127016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8698) |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2023-08-14 |