| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 172A00000X Driver |
| 251S00000X Community/Behavioral Health |
| 175T00000X Peer Specialist |
| 251B00000X Case Management |
| 251K00000X Public Health or Welfare |
| 251V00000X Voluntary or Charitable |
| 252Y00000X Early Intervention Provider Agency |
| 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QR0800X Clinic/Center Recovery Care |
| 101YP1600X Counselor Pastoral |
| 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 374K00000X Religious Nonmedical Practitioner |
| 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-03-07 |