NPI | 1699131896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10267) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: MD LC10267) | |
101YP2500X Counselor, Professional (Licence: LA 08861) | |
101YP2500X Counselor, Professional (Licence: VA 0701009874) | |
101YP2500X Counselor, Professional (Licence: DC PRC15297) | |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
251S00000X Community/Behavioral Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2016-01-05 |
Last Update Date | 2025-01-24 |