| NPI | 1770085938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5602) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 5602) | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2022-05-16 |