| NPI | 1376193730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: LA 8625) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 8625) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2024-07-03 |