| NPI | 1114207925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7033) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH7033) |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide (Licence: FL CNA259380) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH7033) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-09-24 |