| NPI | 1235672445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008297) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14473) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL MH14473) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2023-12-27 |