| NPI | 1619539558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-05-11 |