| NPI | 1578013223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 8077) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 8077) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2024-11-03 |