| NPI | 1871302562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 1) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 1) | |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |