| NPI | 1497291082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 101YP2500X Counselor Professional | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-10-04 |