| NPI | 1063966653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 9566) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2018-05-31 |