| NPI | 1922241694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst | |
| 172V00000X Community Health Worker | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |