| NPI | 1194331108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MS 171M00000X.) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2025-12-08 |