| NPI | 1225448871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 124588) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 84853) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2021-03-02 |