| NPI | 1396115309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 011292561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 011292561) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2022-06-30 |