| NPI | 1629517578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 11787) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11787) |
| 171M00000X Case Manager/Care Coordinator (Licence: SC 11787) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-10-15 |