| NPI | 1760853493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 9502) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: LA 006998174) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 006998174) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2023-08-14 |