| NPI | 1972111334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: 180009380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 150102674) |
| 171M00000X Case Manager/Care Coordinator (Licence: 42113793) | |
| 225C00000X Rehabilitation Counselor (Licence: 110546) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |