| NPI | 1487995585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC9945) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC9945) |
| 101YM0800X Counselor, Mental Health (Licence: LA PLC9945) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2024-02-29 |