| NPI | 1407498496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 11194-125) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WI 171M00000X) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-10-07 |