| NPI | 1013427178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-05-14 |