| NPI | 1659744621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8868) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLC8868) |
| 101YM0800X Counselor, Mental Health (Licence: LA PLC8868) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC8868) | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2024-02-13 |