| NPI | 1659233880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC10811) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC10811) |
| 101YM0800X Counselor, Mental Health (Licence: LA PLC10811) | |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2026-01-29 |