| NPI | 1144703547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 03854) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor Mental Health (Licence: WA LYH61179320) | |
| 101YM0800X Counselor Mental Health | |
| 101YM0800X Counselor Mental Health (Licence: KS 03854) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2025-03-18 |