| NPI | 1568907053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 5014) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YP2500X Counselor Professional (Licence: TN 5014) | |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-04-24 |