| NPI | 1285005348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC10097) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor (Licence: LA PLC10097) | |
| 101YP2500X Counselor, Professional (Licence: LA PLC10097) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2026-05-28 |