| NPI | 1659079788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC9529) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC9529) |
| 101Y00000X Counselor (Licence: LA PLC9529) | |
| 101YM0800X Counselor, Mental Health (Licence: LA PLC9529) | |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2026-09-10 |