| NPI | 1144864893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 22245) |
| 101YP2500X Counselor, Professional (Licence: SC 12028) | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2026-08-27 |