| NPI | 1174013023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012553) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 012553) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-04-17 |