| NPI | 1982236733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 13290) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW010719) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2025-03-06 |