| NPI | 1619428570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH14809) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CWCM P100112) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |