| NPI | 1336685122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 30773) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD 20702) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2022-09-12 |