| NPI | 1417494147 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 9313) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-01-19 | 
| Last Update Date | 2025-05-27 |