| NPI | 1104220268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 225C00000X Rehabilitation Counselor | |
| 251B00000X Case Management | |
| Enumeration Date | 2014-10-18 |
| Last Update Date | 2020-06-23 |