| NPI | 1629847579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2025-05-30 |