| NPI | 1760680193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 240146) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 240146) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-01-14 |