| NPI | 1659925626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA LPC7978) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC7978) | |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2022-09-15 |