| NPI | 1922558568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 93-6002307) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 93-6002307) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-10-30 |