| NPI | 1306715404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 1641) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2026-03-12 |