| NPI | 1770905556 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7926)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV C1705)  | 
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-01-13 | 
| Last Update Date | 2024-03-08 |