| NPI | 1114452331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 10100) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 10100) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2026-07-08 |