| NPI | 1053778662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLPC8990) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: LA PLPC8990) | |
| 101YP2500X Counselor, Professional | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLPC8990) | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2025-06-24 |