| NPI | 1043788680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018028477) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2018028477) |
| 171M00000X Case Manager/Care Coordinator (Licence: MO 2018028477) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2022-11-11 |