| NPI | 1134639933 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MN A507480700) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-10-05 | 
| Last Update Date | 2024-06-03 |