| NPI | 1477950715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL LPC05388) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2024-10-22 |