| NPI | 1689046559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor (Licence: LA PLC7211) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC7211) | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2023-11-08 |