| NPI | 1013575703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL 23843) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2026-08-18 |