| NPI | 1063849461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH10999) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL MH10999) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2020-01-15 |