| NPI | 1144625880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22269) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL MH22269) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2024-06-25 |