| NPI | 1568607844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4205) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MA 1120) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |