| NPI | 1780975656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0138571) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2021-10-11 |