| NPI | 1114481710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 8540) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 8540) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 8540) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2025-07-16 |