| NPI | 1699420679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2024-08-14 |