| NPI | 1588940670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 12438) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 292200) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100485) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2018-03-01 |