| NPI | 1194176461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLPC7407) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 7407) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-05-12 |