| NPI | 1972603660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10470) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH10470) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100913) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2021-01-20 |