| NPI | 1063174092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2023-03-07 |