| NPI | 1225401565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC5746) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5746) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2023-11-21 |