| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 103K00000X Behavior Analyst |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care |
| 261QM0850X Clinic/Center, Adult Mental Health |
| 251B00000X Case Management |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-08-18 |
| Last Update Date | 2026-08-18 |