| NPI | 1104960897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7626) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 097.0134945) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-02-02 |