| NPI | 1104100148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 132967) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2025-12-03 |