| NPI | 1174034235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA PLC9351) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC9351) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-02-05 |