| NPI | 1144724964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 12219) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0903002581) |
| 101YM0800X Counselor, Mental Health (Licence: LA 12219) | |
| 104100000X Social Worker (Licence: LA 12219) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 12219) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-05-11 |