| NPI | 1376824557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY 598) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 21831) |
| 101YP2500X Counselor, Professional (Licence: WY 1372) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2023-11-01 |