| NPI | 1154847192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7347) |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 009053721) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-06-08 |