| NPI | 1962034546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW2224) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW20224) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2024-09-12 |