| NPI | 1194102269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OR 104100000X) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2017-10-24 |