NPI | 1700552239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251S00000X Community/Behavioral Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2021-08-16 |
Last Update Date | 2025-06-03 |