| NPI | 1619445962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC9055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC9055) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC9055) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2022-12-21 |