| NPI | 1457831448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 12810) |
| 1041C0700X Social Worker, Clinical (Licence: LA 12810) | |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2021-05-25 |