| NPI | 1750732939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701015321) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2002359-TRNE) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2026-03-03 |