| NPI | 1265931935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 1034) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |