| NPI | 1033709290 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101Y00000X Counselor | |
| Enumeration Date | 2021-01-21 | 
| Last Update Date | 2023-06-18 |