| NPI | 1417311101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 101Y00000X Counselor (Licence: VA 0704006679) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0704006679) | |
| 172V00000X Community Health Worker (Licence: VA 198003001) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2021-04-09 |