| NPI | 1083060438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 1083060438) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2018-04-25 |