| NPI | 1902643372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 225400000X Rehabilitation Practitioner | |
| 251B00000X Case Management | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |