| NPI | 1699912022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2020-12-18 |