| NPI | 1962867184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 01005364) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2023-07-20 |