| NPI | 1639607450 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7095) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7095) | 
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-05-24 | 
| Last Update Date | 2025-08-20 |