| NPI | 1720207707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-09-28 |