| NPI | 1619756533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 1415) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 1415) |
| 101YP2500X Counselor, Professional (Licence: CA 1415) | |
| 171M00000X Case Manager/Care Coordinator | |
| 225C00000X Rehabilitation Counselor (Licence: FL 00111574) | |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |