| NPI | 1699471524 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101Y00000X Counselor | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-02-02 | 
| Last Update Date | 2023-03-15 |