| NPI | 1952942120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 8040) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor (Licence: LA PLC8040) | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2025-08-08 |