| NPI | 1386129740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 285940) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 243912) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-04-01 |