| NPI | 1023352879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 5779) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 5779) |
| 101YS0200X Counselor School (Licence: SC 5779) | |
| 104100000X Social Worker (Licence: SC 7316) | |
| 171M00000X Case Manager/Care Coordinator (Licence: SC 7380) | |
| 171M00000X Case Manager/Care Coordinator (Licence: SD 7316) | |
| Enumeration Date | 2012-11-18 |
| Last Update Date | 2023-04-19 |