| NPI | 1124503271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MO 2018006449) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2021-09-11 |