| NPI | 1912403213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7528) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7528) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 7528) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2022-03-14 |