| NPI | 1568823219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8910) |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC8910) | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2024-03-18 |