| NPI | 1194233726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 5096) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 247410) |
| 101YM0800X Counselor, Mental Health (Licence: FL 21939) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-06-05 |