| NPI | 1861948143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14628) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 1790829646) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 14628) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-06-14 |