| NPI | 1053855403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 9103) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 9103) |
| 171M00000X Case Manager/Care Coordinator | |
| 101Y00000X Counselor (Licence: LA PLC9103) | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2024-10-30 |