| NPI | 1811248008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 101YM0800x) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL M650540586680) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2022-08-02 |