| NPI | 1184169062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN161220) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2024-07-29 |