| NPI | 1912758012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171400000X | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |