| NPI | 1174368054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC10250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC10250) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC10250) | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-08-14 |