| NPI | 1194045179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 7559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 164W00000X Licensed Practical Nurse (Licence: MS P324180) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2018-11-12 |