| NPI | 1194197194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 101Y00000X) |
| 101YM0800X Counselor, Mental Health (Licence: LA 101M0800X) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2018-05-24 |