| NPI | 1780182717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC8754) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC8754) |
| 101YM0800X Counselor, Mental Health (Licence: LA PLC8754) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2023-12-15 |