| NPI | 1235680620 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8370) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5781-R) | 
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC8370) | |
| Enumeration Date | 2016-10-20 | 
| Last Update Date | 2025-04-18 |