| NPI | 1124479142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 7132) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA RSW7132) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-01-13 |