| NPI | 1790145308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8088) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLM1390) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2024-11-04 |