| NPI | 1154084747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 17173) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2026-09-09 |