| NPI | 1124515184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-00890) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2023-04-27 |