| NPI | 1851958136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16787) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R6698) |
| 101YM0800X Counselor, Mental Health (Licence: NC A16787) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2024-01-29 |