| NPI | 1013297068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 174400000X Specialist |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2016-03-02 |