| NPI | 1659825099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2022-01-25 |