| NPI | 1770334245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251B00000X Case Management | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-08-15 |