| NPI | 1073225173 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A2212008) | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AR A2212008) | 
| Enumeration Date | 2022-12-20 | 
| Last Update Date | 2023-05-05 |