| NPI | 1215271366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 8911) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 2431) |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2021-02-11 |