| NPI | 1710640651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 174400000X Specialist |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2024-01-23 |