| NPI | 1396218772 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61144341)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103122)  | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-01-08 | 
| Last Update Date | 2022-06-20 |