| NPI | 1427309913 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20239)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 14635)  | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-09-25 | 
| Last Update Date | 2022-01-27 |