| NPI | 1679274377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC9555) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: LA PLC9555) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-12-11 |