| NPI | 1104373141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 010996410) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-02-07 |