| NPI | 1104515469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: SC 307682) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |