| NPI | 1063640894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3527) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 3527) |
| 101YM0800X Counselor, Mental Health (Licence: NC 3527) | |
| 251B00000X Case Management (Licence: NC 3527) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2024-01-08 |