| NPI | 1811288780 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0101894)  | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| Enumeration Date | 2011-04-27 | 
| Last Update Date | 2021-10-19 |