| NPI | 1194295022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA MSW010289) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 400942860709) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2022-09-21 |