| NPI | 1275048282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X Community/Behavioral Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2025-04-11 |