| NPI | 1801333596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 16997) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 17601) |
| 101YM0800X Counselor, Mental Health (Licence: CA 4891) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YP2500X Counselor, Professional (Licence: CA 4891) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2026-08-25 |