| NPI | 1235767609 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20406)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS100938)  | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-03-31 | 
| Last Update Date | 2025-06-24 |