| NPI | 1144735028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25396) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0101058) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2026-06-03 |