| NPI | 1659805836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 6999) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 6999) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2022-12-30 |