| NPI | 1073094082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2023-08-21 |