| NPI | 1073909693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 23675) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 23675) |
| 101Y00000X Counselor | |
| 2470A2800X Technician, Health Information, Assistant Record Technician | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-06-05 |