| NPI | 1336787795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 307015) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 307015) |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2026-03-23 |