| NPI | 1710865399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 175T00000X Peer Specialist | |
| 101YP2500X Counselor, Professional | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-09-15 |