| NPI | 1518258722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10731) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 088351) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2021-05-27 |