| NPI | 1720628316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11575244-6009) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2026-02-27 |