| NPI | 1154791093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 4015) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4015) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2019-08-22 |