| NPI | 1912453291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: LA 8112) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-09-06 |