| NPI | 1538575600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0022524) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CO NLC #0104295) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2025-01-26 |