| NPI | 1043744246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6950) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6950) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 6950) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-06-21 |