| NPI | 1477080927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA PLC6700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6700) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |