| NPI | 1174048987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 133N00000X Nutritionist | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-29 |