| NPI | 1811362833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016007246) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2016007246) |
| 171M00000X Case Manager/Care Coordinator (Licence: MO 2016007246) | |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2021-07-19 |