| NPI | 1780268953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2023001659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.017996) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2023-12-07 |