| NPI | 1760906267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 7616) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 7616) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: LA 7616) | |
| 171M00000X Case Manager/Care Coordinator | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: LA 7616) | |
| 101YS0200X Counselor, School (Licence: LA 7616) | |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X (Licence: LA 7616) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: LA 7616) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 7616) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2023-12-18 |