| NPI | 1316300387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021022398) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: KS 2848) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2021-07-28 |