| NPI | 1669039418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH c2103696) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 70973) |
| 101YM0800X Counselor, Mental Health (Licence: OH C-2103696) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2021-10-05 |