| NPI | 1194461517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: WI 3001025688) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |