| NPI | 1053822171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 011118519) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2019-02-07 |