| NPI | 1336852540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC9117) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC9117) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-02-02 |