| NPI | 1194099259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA LPC7745) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7745) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2023-04-27 |