| NPI | 1972933034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 5889) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: LA 5889) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 5889) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2024-03-14 |