| NPI | 1639504988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1906078) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical (Licence: AR P1906078) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2024-06-26 |