| NPI | 1164870226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 010313613) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2020-02-05 |