| NPI | 1063070639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7259) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-09-18 |