| NPI | 1417594953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2021-11-02 |