| NPI | 1023660339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH23430) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor Mental Health (Licence: FL PMH2118) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-03-11 |