| NPI | 1821506643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8110) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 8110) | |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2024-01-25 |