| NPI | 1043891526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 18010) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 175T00000X Peer Specialist | |
| 104100000X Social Worker (Licence: LA 18010) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2023-08-18 |